Mass casualty incident: Difference between revisions

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==Differential Diagnosis==
==Background==
*Mass Casualty Incident (MCI) defined as an incident where the number of patients (or the rate of their arrival to a medical facility) overwhelms local resources (and the ability to immediately supplement them).<ref name="Briggs">Briggs SM. Disaster management teams. Curr Opin Crit Care. 2005 Dec;11(6):585-9.</ref><ref name="Lee">Lee JS, Franc JM. Impact of a Two-step Emergency Department Triage Model with START, then CTAS, on Patient Flow During a Simulated Mass-casualty Incident. Prehosp Disaster Med. 2015 Jun 24:1-7.</ref>
 
==Potential Causes of MCI==
{{MCI types}}
{{MCI types}}


==Diagnosis==
==Management==
[[File:ICS org chart.bmp|thumbnail|ICS Organization Structure]]
 
===Initial Triage===
*See [[Mass casualty incident triage]]
 
===Incident Command System (ICS)===
*An Incident Command System (ICS) is designed to allow for coordination of response to an MCI by providing for an integrated organizational/command structure<ref name="FEMA">FEMA IS 0100.b - Introduction to the Incident Command System (ICS), Student Manual. http://training.fema.gov/emiweb/is/is100b/student%20manual/02ics100b_sm_october2013.pdf. Accessed 07/24/2015.</ref>
**ICS has been in use since the 1970's.
**Designed to expand or contract in size in response to scope of incident.
*After the September 11, 2001 terrorist attacks, the Department of Homeland Security proposed the National Incident Management System (NIMS) in response to perceived deficiencies in coordination between emergency responders.<ref>Jensen J, Youngs G. Explaining implementation behaviour of the National Incident Management System (NIMS). Disasters. 2015 Apr;39(2):362-88. doi: 10.1111/disa.12103.</ref>
**NIMS mandates the use of ICS in the United States for MCI response<ref name="FEMA" />
 
==External Links==
*[http://training.fema.gov/emiweb/is/icsresource/index.htm FEMA ICS Resource Center]
*[https://training.fema.gov/is/nims.aspx FEMA Online NIMS Training]
 
==See Also==
*[[Mass casualty incident triage]]
*[[Mass casualty incident triage]]
*[[GEMC:Prehospital_/_Disaster_/_Mass_Casualty_Medicine]]
==References==
<References/>


[[Category:Misc/General]]
[[Category:Misc/General]]
[[Category:EMS]]
[[Category:EMS]]

Latest revision as of 07:05, 23 October 2017

Background

  • Mass Casualty Incident (MCI) defined as an incident where the number of patients (or the rate of their arrival to a medical facility) overwhelms local resources (and the ability to immediately supplement them).[1][2]

Potential Causes of MCI

Mass casualty incident

Management

ICS Organization Structure

Initial Triage

Incident Command System (ICS)

  • An Incident Command System (ICS) is designed to allow for coordination of response to an MCI by providing for an integrated organizational/command structure[3]
    • ICS has been in use since the 1970's.
    • Designed to expand or contract in size in response to scope of incident.
  • After the September 11, 2001 terrorist attacks, the Department of Homeland Security proposed the National Incident Management System (NIMS) in response to perceived deficiencies in coordination between emergency responders.[4]
    • NIMS mandates the use of ICS in the United States for MCI response[3]

External Links

See Also

References

  1. Briggs SM. Disaster management teams. Curr Opin Crit Care. 2005 Dec;11(6):585-9.
  2. Lee JS, Franc JM. Impact of a Two-step Emergency Department Triage Model with START, then CTAS, on Patient Flow During a Simulated Mass-casualty Incident. Prehosp Disaster Med. 2015 Jun 24:1-7.
  3. 3.0 3.1 FEMA IS 0100.b - Introduction to the Incident Command System (ICS), Student Manual. http://training.fema.gov/emiweb/is/is100b/student%20manual/02ics100b_sm_october2013.pdf. Accessed 07/24/2015.
  4. Jensen J, Youngs G. Explaining implementation behaviour of the National Incident Management System (NIMS). Disasters. 2015 Apr;39(2):362-88. doi: 10.1111/disa.12103.